abortion

Abortion pills: Where are they legal and illegal?

nancyvalko abortion, Drugs, education, law, medical abortion, miscarriage, nursing, pro-life

In a January 8, 2025, article by the Catholic News Agency titled Abortion pills: Where are they legal and illegal?, author Jonah McKeown writes:

“As states continue to legislate on abortion in the post-Roe v. Wade landscape, a major point of contention as a new presidential administration takes office is the two-drug medication abortion regimen, commonly referred to as the abortion pill.

Abortions done via medication, also called chemical abortions, currently account for about half of the abortions that are done in the United States every year. However, many states restrict the use of abortion pills, specifically the first drug in the two-drug regimen, mifepristone. (Emphasis added)”

Take a look at the map below to see where abortion pills are legal, and where they aren’t:

Green is illegal, yellow is limited, and red is legal (go to Abortion pills: Where are they legal and illegal? to click on each state’s specific law)

As the author states:

“At the federal level, mifepristone is approved to abort an unborn child up to 10 weeks’ gestation, having been first approved for such use in 2000. 

The drug kills the child by blocking the hormone progesterone, which cuts off the child’s supply of oxygen and nutrients. A second pill, misoprostol, is taken between 24 to 48 hours after mifepristone to induce contractions and expel the child’s body.

Several states, most of which have some pro-life laws in place, have also passed restrictions on abortion pills designed to protect women, including requirements that only physicians may dispense them. These states include Alaska, Arizona, Florida, Georgia, Iowa, Michigan, Nebraska, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, and Utah. (Emphasis added)”

and

“A large number of states — most of them concentrated in a contiguous cluster in the South and Midwest — ban abortion in most cases but provide exceptions in cases where the life of the mother is at risk or in cases of rape, incest, or fetal anomaly. In these states, access to abortion pills is likely to be very limited or prohibited entirely. 

States with total bans on abortion pills include Alabama, Arkansas, Idaho, Indiana, Kentucky, Louisiana, Mississippi, Missouri, North Dakota, Oklahoma, South Dakota, Tennessee, and Texas. “

However, as Mr. McKeown. also writes,

” just because these states have bans on abortion pills in place does not mean the drugs are not accessible; women in those states can still receive them in the mail. Under then-President Donald Trump during the COVID-19 pandemic in 2020, the FDA was given the ability to distribute the drug via mail. The administration of President Joe Biden eventually solidified the practice as a norm in 2023. (Emphasis added)

A group of state attorneys general, led by Missouri, is currently suing the Food and Drug Administration (FDA) over its deregulation of the drug, arguing that abortion drugs have been “flooding states like Missouri and Idaho [where abortion is otherwise regulated] and sending women in these states to the emergency room.”

In addition, Texas Attorney General Ken Paxton recently filed a lawsuit against an abortionist in New York, alleging that she illegally provided abortion drugs to a woman in Texas, which killed the unborn child and caused serious health complications for the mother.”

Sadly, as Mr. McKeown writes:

President-elect Trump has committed to keeping abortion pills accessible during his second term — a major disappointment for pro-life advocates, who have urged Trump to use the FDA’s power to enforce a Comstock Act prohibition on the delivery of “obscene” and “vile” products through the mail, which includes the delivery of anything designed to produce an abortion.”

CONCLUSION

As I wrote in my June 16, 2024 blog “The Supreme Court Rejects Challenge by Pro-life Doctors on Abortion Pill“:

“As Life News reported on June 13, 2024:

“The Supreme Court on Thursday rejected a challenge to the abortion pill mifepristone, meaning the abortion drug will be widely available to continue killing babies and injuring doctors nationwide.

The 9-0 decision says the pro-life doctors who brought the case do not have standing – they were not injured, and so the court does not intervene. That’s even though they sued on behalf of women who were injured by the abortion drug by the thousands – including women who have been killed.” (Emphasis added)”

I have a personal interest in this because I had an unwed daughter who became pregnant and started bleeding without telling me because of embarrassment.

She went to a local ER, where the doctors said she was just having a miscarriage and sent her home.

When the pain and bleeding increased, she called me. I took her back to the ER to demand an ultrasound.

As I suspected as a nurse, her pregnancy was ectopic and emergency surgery was performed.

Afterward, the surgeon showed me the picture he had taken (unasked) during the surgery to remove the then-deceased first-trimester baby, my grandchild. The picture was personally so sad to see but I was comforted that the surgeon cared enough to take a picture of this tiny person and show respect.

We need more respect and help for women with an unexpected pregnancy and their babies than a pill without medical safeguards!”

Related

“Safer Than Tylenol” is Deliberate Medical Abortion Disinformation February 26, 2023

Planned Parenthood Sues Kansas to Challenge a New State Law Requiring Abortion Reversal Information to be Provided Before Abortion June 12, 2023

SUPREME COURT RULES THAT STATES MAY DEFUND PLANNED PARENTHOOD

nancyvalko abortion, culture, education, law, media, medical, nursing, Planned Parenthood, pro-life

Supreme Court clears way for states to kick Planned Parenthood out of Medicaid – POLITICO

A stunning 6-3 Supreme Court decision on June 26, 2025 has now cleared the way for states to exclude Planned Parenthood from their Medicaid programs, concluding that federal law doesn’t allow health care providers or patients to sue if a state violates a provision of federal law guaranteeing the Medicaid patients can visit their preferred provider.

According to Politico:

“The decision rejected a challenge to South Carolina’s 2018 expulsion of Planned Parenthood from its Medicaid program. It will likely allow other conservative states to similarly expel reproductive and sexual health clinics — shrinking the already narrow network of providers available in the health insurance program for low-income Americans.”

and

“Defunding” Planned Parenthood is a goal of many conservatives, who object to its abortion services. Federal law has long banned federal money from being used for abortions. But Planned Parenthood clinics provide many other health care services that are typically eligible for payment under Medicaid.

Thursday’s ruling will make it easier for states to deprive Planned Parenthood — and other clinics that provide abortions — from receiving Medicaid payments for any of their non-abortion-related care.”

BACKGROUND

As I wrote in my December 14, 2018 blog, “Why is the US Supreme Court Ducking the Issue of States Defunding Planned Parenthood?”:

“Most of Planned Parenthood’s federal funding is from Medicaid reimbursements for preventive care, and some is from Title X. At least 60% of Planned Parenthood patients rely on public health programs like Medicaid and Title X for preventive and primary care.” (Emphasis added)

According to a Lozier Institute Report, in its latest report 2016-2017, Planned Parenthood received “$543.7 million in funds from all levels of government in that fiscal year…primarily from the Medicaid program”. (All emphasis added)

CONCLUSION

Ironically, although the brief by Planned Parenthood of Gulf Coast  to the Supreme Court insisted that their clinics “..provide essential medical care to thousands of low-income Louisiana residents through Medicaid” and “offer a range of services, including annual physical exams, screenings for breast cancer and cervical cancer, contraception, pregnancy testing and counseling, and other preventative health services”, the reality is that there are many more places, such as federally qualified community health centers (which do not provide abortions) that provide more comprehensive health care services than those offered by Planned Parenthood.

On a personal note, several years ago my late daughter Marie secretly went to a Planned Parenthood clinic for a possible sexually transmitted disease. She finally admitted this to me when her symptoms grew worse. I immediately took her to my own gynecologist who had to perform surgery to remove part of her cervix to deal with the damage.

Planned Parenthood had missed the diagnosis.

Shocking New York Times Article Shows Planned Parenthood in Crisis

nancyvalko abortion, culture, law, medical ethics, Planned Parenthood, pro-life

In a shocking February 15, 2025, New York Times article titled A Crisis at Planned Parenthood: What to Know, author Katie Benner writes that “Planned Parenthood clinics around the country are facing complaints of substandard health care and poor morale amid chronic funding problems, a New York Times investigation found.” (Emphasis added)

She also writes that:

“While Planned Parenthood is synonymous with abortion, the organization also provides basic health care to millions of​ Americans who have few other options. Financial strains now undermine those services.

A New York Times review found that the clinics have been in decline for decades, undermined by structural and political headwinds and left to make do as national leaders prioritized the fight for abortion rights over finding a more sustainable way to fund health care. (Emphasis added)

Planned Parenthood’s health care operation has shrunk from a high of 5 million patients served across 900 clinics in the 1990s to 2.1 million patients and 600 clinics today, with staff members complaining that patient care is compromised by low salaries, chronic understaffing, high turnover, inadequate training and aging facilities.” (Emphasis added)

Katie Benner also writes: “Here are four takeaways from the reporting:

“Planned Parenthood may need structural reform

Few people outside the organization understand that there is a significant difference between the Planned Parenthood Federation of America, the national office that most people associate with the brand, and the 49 Planned Parenthood affiliates located across the country. The national office does not provide health care. Rather, it funds legal, political, and public opinion work that supports abortion rights. The clinics are run by the affiliates, which are stand-alone nonprofit organizations.

The affiliates have been buffeted for years by political challenges that hurt their ability to raise the money necessary to cover procedures that patients cannot afford.

For the past two decades, leaders say they had to prioritize the fight for abortion rights over clinics because the political fight was fundamental to the organization’s ability to operate. They argue that the organization managed to deliver quality health care, despite increasing financial constraints. Yet clinics have degraded over time.” (All emphasis added)

Clinics nationwide face financial problems

“While affiliates in more liberal states like New York and California have had an easier time fund-raising than their counterparts in states with a strong anti-abortion sentiment, rising health care costs and the lingering effects of the pandemic have taken a financial toll on all clinics. Planned Parenthood of Greater New York — one of the few places where abortion is still legal up to 24 weeks — said that a budget shortfall would force it to restrict later-term abortion services, effectively implementing a 20-week abortion ban. (All emphasis added)

Planned Parenthood of Northern California made a hard funding choice “last March when it ended a prenatal care program that served 200 to 250 low-income women a month. And Planned Parenthood of Northern New England expects to run an $8 million deficit over the next three years.

While affiliates in more liberal states like New York and California have had an easier time fund-raising financial toll on all clinics. Planned Parenthood of Greater New York — one of the few places where abortion is still legal up to 24 weeks — said that a budget shortfall would force it to restrict later term abortion services, effectively implementing a 20-week abortion ban.

Planned Parenthood of Northern California made a hard funding choice last March when it ended a prenatal care program that served 200 to 250 low-income women a month. And Planned Parenthood of Northern New England expects to run an $8 million deficit over the next three years.” (All emphasis added)

Patients have felt the effects

“Patients and employees said that clinics are operating like “ a conveyor belt” for patients, leading to botched IUD placements and abortions, patients prepped for the wrong procedures, and other errors, according to legal filings, complaints and interviews. (All emphasis added)

Planned Parenthood has been accused of improperly implanting a birth control device and causing nerve damage; inserting an IUD in a woman who was four months pregnant, and failing to upload sexually transmitted infection test results into charts, leading patients to wrongly believe that their results were negative.”

Employees are feeling the pressure

“Employees said there has been constant pressure to more than double the number of patients seen from the present 2.1 million, to help bring in more revenues, with management asking staff to see more than four patients an hour. That is in line with a trend in health care, widely unpopular with both patients and doctors, to keep primary care visits to about 15 minutes. But clinic staff members said that they needed more than 10 to 15 minutes to care for patients who often face literacy and language barriers or face social ills like housing insecurity, abuse and poverty.

Staff members who have decried the conditions are beginning to unionize to push back on demands that they say undermine Planned Parenthood’s mission.”

CONCLUSION

Although abortion is supposed to be only about a woman’s right to choose, the repercussions for all involved are devastating. Abortion is not the answer and we all need to offer help and support to desperate women and their families.

Trump Pardons 23 Pro-Life Activists the Day before the March for Life

nancyvalko abortion, end-of-life, medical ethics, mental health, nursing, Planned Parenthood, pro-life, suicide

In a January 23, 2025 article in the New York Post titled “Trump pardons ‘peaceful’ pro-lifers imprisoned for protesting outside abortion clinics” states:

” President Trump pardoned nearly two dozen pro-life activists Thursday who were convicted under a federal law of illegally trying to block abortion clinic entrances or otherwise keep women from undergoing the procedure.

The pardons, Trump said in the Oval Office, will go to 23 “peaceful protestors” who were prosecuted under the Biden administration. He did not reveal the names of those who will be pardoned. 

“Twenty-three people were prosecuted who should not have been prosecuted. Many of them are elderly people. They should not have been prosecuted,” the president said. “This is a great honor to sign this.”

The Freedom of Access to Clinic Entrances (FACE) Act, enacted in 1994 by former President Bill Clinton, prohibits use of physical force, threat of physical force, or physical obstruction to injure, intimidate or otherwise interfere with “any class of persons [in] obtaining or providing reproductive health services.”

The law also has the same stipulations allowing free access to places of worship — but conservatives say Democratic administrations have been more interested in prosecuting abortion clinic obstruction.”

MY FIRST TIME AT AN ABORTION CLINIC

I was a new nurse when Roe v Wade legalized abortion.

I was shocked and saddened while my other medical colleagues thought this was great.

“What would you do if you found out you were pregnant?”, they asked.
I told them I would have the baby and consider adoption. They thought that was crazy.

I later joined the St. Lous Archdiocese Pro-Life Commitee, the first in the US, and donated items to the Birthright organization that offers “free, confidential resources to any woman regardless of age, race, circumstances, religion, marital status or financial situation.”

In 1987, I was invited to join a group holding signs outside the Planned Parenthood Clinic in St. Louis offering information and help to the women entering. I was nervous walking with my then 2-year-old daughter but there were strict rules about staying on the sidewalk and I was relieved to see the signs with phone numbers and offers to help the women entering the clinic.

But suddenly my 2-year-old daughter dropped my hand and ran to play on the grass in front of the clinic. I panicked, picking her up and running to the sidewalk. I had heard that we could be arrested. Luckily, we weren’t.

CONCLUSION

I am glad President Trump pardoned those peaceful pro-life people but being pro-life is about more than picketing.

Every pro-life person I know is also a person who reaches out to anyone in need.

I know I have been blessed by helping single moms in difficult circumstances, families caring for children with disabilities, people considering suicide, women regretting their abortion, older people facing their impending death, and others.

Being pro-life is not just about ending the horror of legalized abortion but rather about cherishing and caring for all lives!

That is why I am so proud of the National Association of Pro-life Nurses’ button that simply says “I care”.

The Supreme Court Rejects Challenge by Pro-life Doctors on Abortion Pill

nancyvalko abortion, culture, education, grief, law, medical abortion, medical ethics, miscarriage, pro-life, safeguards

As Life News reported on June 13, 2024:

“The Supreme Court on Thursday rejected a challenge to the abortion pill mifepristone, meaning the abortion drug will be widely available to continue killing babies and injuring doctors nationwide.

The 9-0 decision says the pro-life doctors who brought the case do not have standing – they were not injured, and so the court does not intervene. That’s even though they sued on behalf of women who were injured by the abortion drug by the thousands – including women who have been killed.” (Emphasis added)

The US Supreme Court decision acknowledged that the Mifeprex pill was approved in 2000 but also that:

“FDA placed additional restrictions on the drug’s use and distribution, for example requiring doctors to prescribe or to supervise prescription of Mifeprex, and requiring patients to have three in-person visits with
the doctor to receive the drug. ” (Emphasis added)

The Cout also acknowledges that the restrictions were relaxed further by the FDA (Federal Drug Administration) when:

“In 2021, the FDA announced that it would no longer enforce the initial in-person visit requirement. Four pro-life medical associations and several individual doctors moved for a preliminary injunction that would require the FDA either to rescind
approval of mifepristone or to rescind the FDA’s 2016 and 2021 regulatory actions. Danco Laboratories, which sponsors Mifeprex, intervened to defend FDA’s actions.”

Now as the Wall Street Journal reports:

“Twenty-six states and D.C. allow telehealth for medication abortion. The remaining states have restrictions that supersede federal guidance: 14 ban abortion throughout pregnancy, and the remaining 10 have various combinations of in-person requirements, such as mandatory ultrasounds and visits to doctors and counselors.” (Emphasis added)

WHAT COULD GO WRONG?

As Dr. Christina Francis, an Ob-Gyn doctor herself, wrote in a May 2021 article titled “The government’s abortion pill policy puts mothers’ lives at risk”:

“One of the most significant reasons why an in-person visit has been required is for proper medical oversight as well as a physical exam and ultrasound. These visits are meant to accurately assess the gestational age of a woman’s pregnancy, as well as rule out ectopic pregnancy, which is life-threatening. The difference in size of an 8-week-old and 12-week-old preborn child is significant”

CONCLUSION

I have a personal interest in this because I had an unwed daughter who became pregnant and started bleeding without telling me because of embarrassment.

She went to a local ER where the doctors said she was just having a miscarriage and sent her home.

When the pain and bleeding increased, she called me. I took her back to the ER to demand an ultrasound.

As I suspected as a nurse, her pregnancy was ectopic and emergency surgery was performed.

Afterward, the surgeon showed me the picture he had taken (unasked) during the surgery to remove the then-deceased first-trimester baby, my grandchild. The picture was personally so sad to see but I was comforted that the surgeon cared enough to take a picture of this tiny person and show respect.

We need more respect and help for women with an unexpected pregnancy and their babies than a pill without medical safeguards!

        NATIONAL ASSOCIATION OF PRO-LIFE NURSES JOINS ASSOCIATION CHALLENGING CHEMICAL ABORTION IN LANDMARK SUPREME COURT CASE

        nancyvalko abortion, law, medical, medical abortion, medical ethics, nursing

        Washington, D.C. — The National Association of Pro-Life Nurses (NAPN) has proudly joined the Alliance for Hippocratic Medicine, an association of medical organizations suing the United States Food and Drug Administration (FDA) for its reckless removal of essential safeguards for the use of chemical abortion drugs.

        The Alliance for Hippocratic Medicine, other medical organizations, and individual doctors argue that the FDA’s actions not only blatantly disregard established protocols for drug safety but also gravely jeopardize women’s health. This case now heads to the Supreme Court asking that the Court hold the FDA accountable for its callous disregard for women’s health and safety.

        The lawsuit, brought forth by the Alliance for Hippocratic Medicine and others, highlights the following concerns:

        • Removal of safety standards: The FDA removed safeguards for mifepristone and misoprostol, even though its own label states that nearly 1 in 25 women who consume these drugs will end up going to an emergency room.
        • Increased patient risks: The removal of abortion drug safety standards could lead to a greater number of complications, including hemorrhage, life-threatening infection, and incomplete abortions.
        • Lack of informed consent: Remote prescription practices and the elimination of in-person doctor visits endanger women, particularly those at risk for ectopic pregnancies.

        https://nursesforlife.org/press-releases

        NAPN President Dorothy Kane issued the following statement on behalf of the organization:

        “Nurses are on the front lines witnessing the serious harms to women caused by the FDA’s reckless removal of essential safeguards for the use of chemical abortion drugs. Women deserve the ongoing, in-person care of a medical professional when taking high-risk drugs. The FDA has compromised patient safety and shown a callous disregard for women’s health and safety. This case is about safeguarding women’s health, protecting the integrity of the healthcare profession, and committing to evidence-based care.”

        For more information on the legal case, visit Alliance Defending Freedom, the legal organization representing the Alliance for Hippocratic Medicine: https://adflegal.org/case/us-food-and-drug-administration-v-alliance-hippocratic-medicine

                                                                       ###

        The National Association of Pro-Life Nurses (NAPN) is dedicated to promoting respect for every human life from conception to natural death, and to affirming that the destruction of that life, for whatever reason and by whatever means, does not constitute good nursing practice.

        Are “Anti-abortion activists” Really Looking “To Rebrand Themselves As Not Religious”?

        nancyvalko abortion, assisted suicide, conscience rights, culture, euthanasia, law, medical ethics, nursing, pro-life

        Last May, I was interviewed by Dr. Anne Whitesell, an Assistant Professor of Political Science at Miami University “as part of a research project to understand the work of pro-life organizations post-Dobbs and common misconceptions about the movement.”

        Dr. Whitesell was very gracious during the interview, and we had a long conversation about what motivates pro-life people-and especially nurses.

        I told her about our National Association of Pro-life Nurses and the why and how we do what we do because we call about all lives.

        I also told her that the National Association of Pro-life Nurses was not a religious organization but rather open to nurses of any religion or none.

        I explained how the National Association of Pro-life Nurses is a “registered non-profit organization that brings nurses together who look for excellence in advancing ethics in nursing practice “and “seeks to establish and protect ethical values of the nursing profession. The organization educates its members on a wide range of bioethical issues” from conception to natural death”.

        I also told Professor Whitesell that we are not about being judgmental but rather about truly caring and offering help to desperate people in crisis situations and the people around them before-or even after- a person has chosen abortion or is considering medically assisted suicide. (see “Pro-Life and Other Resources for Help and Information to Protect Human Life”)

        Our motto is “I Care” and we even have developed a button with that simple message for our nurses to wear.

        PROFESSOR WHITESELL’S NOVEMBER 6, 2023 ARTICLE

        Professor Whitesell said she would send me a copy of her eventual article but instead I discovered her November 6, 2023 article titled “As Ohio and other states decide on abortion, anti-abortion activists look to rebrand themselves as not religious.”

        Here are some excerpts:

        “My research shows that anti-abortion organizations in the U.S. fall into one of three camps. Some are openly religious. Others may have religious staff, but refrain from using religion in their advocacy. A small proportion outright reject the use of religion.

        “In my interviews, anti-abortion rights activists said they understood that the public views their movement as anti-woman and driven by conservative Christians. More recently, the movement has adopted pro-woman messaging to counter the perception that they do not support women.

        These organizations are increasingly choosing to speak less about religion and more about human rights and science to combat the narrative that the anti-abortion movement is solely a Christian movement.”

        and

        “Most of the activists I interviewed said their organization does not have a formal stance on religion. Approximately one-quarter of the 45 activists I interviewed, however, said their organizations are explicitly Christian. (Emphasis added)

        Professor Whitesell concludes that:

        “Instead of using religion to bolster their arguments against abortion, these activists frame abortion as a human rights issue. For them, any loss of human life is tragic, whether it is from abortion, war or the death penalty.

        This kind of framing could help the anti-abortion movement shift conversations about abortion away from religious beliefs.” (All emphasis added)

        CONCLUSION

        Unfortunately, the abortion rights movement’s animus against using religious beliefs in discussions about abortion has real world consequences.

        For example, a January 16, 2024, CNA article titled “Religious Americans’ lives possibly at risk in 2024, new report by U.S. bishops says” states:

        “Since the overturn of Roe v. Wade in the June 2022 Supreme Court Dobbs v. Jackson Women’s Health Organization decision, attacks against the Catholic Church as well as pro-life organizations have risen considerably. The bishops said that annual hate crime statistics gathered by the FBI in 2022 reported anti-Catholic crimes as nearly 75% higher than for any other bias.“

        All this is compounded with, the bishops said, a “general failure” on the part of the “federal government to apprehend and prosecute the perpetrators of such attacks.” (All emphasis added)

        It is disheartening that articles like Professor Whitesell’s and most mainstream news reporting about abortion and the pro-life movement continue to misrepresent the “anti-abortion movement” as primarily religious rather than a movement based on science, human rights and, above all, helping those involved in crisis situations.

        NAPN: Ohio’s Issue 1 Abortion Vote Marks a Temporary Setback, Not a Surrender

        nancyvalko abortion, adoption, conscience rights, culture, education, law, medical ethics, nursing, pro-life

        FOR IMMEDIATE RELEASE

        November 7, 2023

        National Association of Pro-Life Nurses

        Contact: media@nursesforlife.org

        Columbus, Ohio – The National Association of Pro-Life Nurses (NAPN) is expressing deep disappointment over the passage of Ohio’s extreme, deceptive abortion initiative. Despite the passage of Issue 1, NAPN remains committed to upholding ethics in healthcare practice.

        Issue 1 undermines common-sense health and safety protections by lowering the standard of care in Ohio. Its passage will enshrine discriminatory abortion practices into the state’s constitution, including for reasons of gender or disability. Further, the ballot initiative will expand abortion into the third trimester, when a preborn child is capable of feeling pain. Issue 1 is radically out of touch with the 7 in 10 Americans who support common-sense abortion limits after 15 weeks. NAPN firmly believes in upholding the principles of compassion, empathy, and respect for all human life, echoing the fundamental principles of the nursing profession.

        Executive Director Marie Ashby, on behalf of the NAPN, stated, “While we are deeply concerned by the passage of extreme, anti-life legislation, it does not diminish our resolve to protect human life in all its stages. We must continue to support families facing unexpected pregnancies through pregnancy resource clinics and Federally Qualified Health Centers. NAPN remains steadfast in advancing a higher standard of patient care, which is fundamentally incompatible with abortion.”

        NAPN will continue to push back against healthcare disinformation, as it paves the path forward for excellence in nursing practice. The National Association of Pro-Life Nurses calls upon policymakers to consider the profound ethical implications of legislation that erodes patient protections. The association stands ready to counter public health threats by educating lawmakers and healthcare providers on policies that seek to undermine patient care.

        The National Association of Pro-Life Nurses is a not-for-profit organization uniting nurses who are dedicated to promoting respect for every human life from conception to natural death, and to affirming that the destruction of that life, for whatever reason and by whatever means, does not constitute good nursing practice.

        ###

        For further inquiries or interviews, please contact:

        Marie Ashby

        Executive Director

        National Association of Pro-Life Nurses

        marie@nursesforlife.org

        www.nursesforlife.org

        Planned Parenthood’s Expansion into “Transgender Care”

        nancyvalko abortion, culture, law, medical, medical ethics, mental health, nursing, Planned Parenthood, transgender care

        In August 2023, my home state of Missouri ‘s  law banning gender-affirming medical care for minors  took effect after a legal challenge from civil right advocates. Missouri joined 22 other states with restrictions on “gender-affirming care”. Most, if not all, of these states have exemptions for a “medically verifiable disorder of sex development”.

        Now a shocking October 4, 2023 article in the Washington Free Beacon titled “Planned Parenthood is Helping Teenagers Transition After a 30 Minute Consult. Parents and Doctors are Sounding the Alarm” says that “The abortion provider is wading into transgender care, doling out prescriptions for estrogen and testosterone, including to special needs kids.”

        The article writes about a teenager diagnosed with autism whose parents were shocked “when, in December 2022, at 17 years old, he announced he was a transgender woman” after his best friend with autism announced he was a transgender woman.

        “The parents were “Concerned that this was another phase, but open to the possibility that it wasn’t, Fred’s parents tried to enroll their son, whom they were now calling by a female name at home, in the Gender and Autism Program at Children’s National Hospital, the only gender clinic in the country specializing in autistic youth. Fred was determined to take hormones, they told the clinic, which is known for its lengthy assessments. Before he did, they wanted to be sure his dysphoria wasn’t transient or peer-driven.” There was a waiting list of a year.”

        But according to the article “while his parents were out of town and after he had come of age, Fred went to Planned Parenthood, which prescribes hormones to any legal adult without a letter from a therapist or a formal diagnosis of gender dysphoria. The only requirement is a brief consultation, usually with a nurse practitioner, about the drugs’ effects, which range from mood swings and male pattern baldness to permanent infertility.” (Emphasis added)

        After a nurse practitioner saw him for a “little over 30 minutes” , the nurse practitioner “prescribed their special-needs son a powerful drug without their knowledge or consent.”

        The mother, a New Jersey pediatrician,  told the Beacon that “It’s criminal what Planned Parenthoods all over the country are doing,” “And most people have no idea this is happening.”

        The article also quotes the liberal psychologist who helped bring pediatric gender medicine to the US:

        “I have always been a very strong supporter of Planned Parenthood and am pro-choice,” said Laura Edwards-Leeper, who co-founded the nation’s first pediatric gender clinic, at Boston Children’s Hospital, in 2007. “But they have taken on something that they are not equipped to handle.” The lack of gatekeeping is so bad, she added, that some of her patients received hormones from Planned Parenthood before coming to her for an assessment.

        Others, like Erica Anderson, a former president of the US Professional Association for Transgender Health, say patients they’ve sought to delay from transitioning have simply turned to Planned Parenthood. “I’ve had patients desperate to get hormones where I’ve been the voice of caution,” said Anderson, who is transgender herself. “In some cases, they say, ‘I’ll just go to Planned Parenthood when I’m 18.’ Usually I can dissuade them but sometimes I can’t.”

        CONCLUSION

        As the article points out:

        “Planned Parenthood is one of the largest providers of cross-sex hormones in the United States, and one of the fastest growing. Affiliates in the greater Portland area saw a nearly 400 percent increase in “gender-affirming care visits” between 2021 and 2022, according to their annual reports, while those in Ohio saw a 544 percent increase over the same period. Hormones now appear to be in higher demand than abortion at some branches: A Planned Parenthood in Knoxville, Tenn., told NPR that nearly a fifth of its patients sought hormone therapy in 2021, whereas abortion makes up just 3 percent of Planned Parenthood’s services nationally. (Emphasis added)

        This growth has come as pediatric gender clinics, which used to wait months before prescribing hormones, are becoming more laissez faire themselves. Some now prescribe hormones on the first visit, a Reuters investigation found last year, while others say ballooning caseloads have made it harder to conduct the kind of in-depth assessments once standard in the field.”

        Now, even the World Professional Association of Transgender Health (WPATH), whose standards of care are among the most aggressive and controversial in the field, says “it is critical to differentiate gender incongruence” from autistic “obsessions” and “rigid thinking.” Though the group does recommend an informed consent standard for people over 18, it also states that its guidelines for minors—which call for “comprehensive” evaluations by experts on autism and other disorders—are “often relevant” to young adults. (Emphasis added

        Fred’s parents have now filed a  complaint  with New Jersey’s nursing and medical boards.

        Progress in the War Against Conscience Rights

        nancyvalko abortion, AMA, ANA, assisted suicide, brain injury, civil rights, Compassion & Choices, conscience rights, culture, education, end-of-life, euthanasia, food and water, futility, law, medical, medical ethics, nursing, Planned Parenthood, pro-life, vegetative state

        As I wrote in my 2016 blog “Conscientious Objection, Conscience Rights and Workplace Discrimination” :

        The tragic cases of Nancy Cruzan and Christine Busalacchi , young Missouri women who were claimed to be in a “persistent vegetative state” and starved and dehydrated to death, outraged those of us in Missouri Nurses for Life and we took action.

        Besides educating people about severe brain damage, treatment, cases of recovery and the radical change in medical ethics that could lead to the legalization of euthanasia, we also fought for healthcare providers’ rights against workplace discrimination for refusing to participate in deliberate death decisions. We talked to nurses who were threatened with termination.

        Although Missouri had some protections against forcing participating in abortion, there were no statutes we could find where health care providers were protected against being forced to participate in deliberate death decisions. We were also told by some legislators that our chance of success was almost nil.

        Nevertheless, we persisted and after years of work and enduring legislators watering down our original proposal to include lethal overdoses and strong penalties, Missouri Revised Statutes, Section 404.872.1 was finally signed into law in 1992. It states:

        Refusal to honor health care decision, discrimination prohibited, when.

        404.872. No physician, nurse, or other individual who is a health care provider or an employee of a health care facility shall be discharged or otherwise discriminated against in his employment or employment application for refusing to honor a health care decision withholding or withdrawing life-sustaining treatment if such refusal is based upon the individual’s religious beliefs, or sincerely held moral convictions.

        (L. 1992 S.B. 573 & 634 § 7)

        PROGRESS DURING THE TRUMP ADMINISTRATION

        In 2018, the Trump administration announced a new Conscience and Religious Freedom Division  in the department of Health and Human Services’ Office for Civil Rights (OCR) to enforce “federal laws that protect conscience and the free exercise of religion and prohibit coercion and discrimination in health and human services”. The division specifically mentions “issues such as abortion and assisted suicide (among others) in HHS-funded or conducted programs and activities” and includes a link to file a conscience or religious freedom complaint “if you feel a health care provider or government agency coerced or discriminated against you (or someone else) unlawfully”.

        Both Planned Parenthood (abortion) and Compassion and Choices (assisted suicide) loudly condemned this.

        Lawsuits were quickly filed by groups like Americans United for Separation of Church and State and the Center for Reproductive Rights, delaying implementation of the Final Conscience Rule until at least late November. The first lawsuit was filed by San Francisco within hours of the announcement of the Rule.

        NOW STATES ARE GETTING INVOLVED

        In 2020, the Medical Conscience Rights Initiative (MCRI)  was launched by the Religious Freedom Institute, Alliance Defending Freedom and the Christ Medicus Foundation to promote legislation on the state level “to protect America’s healthcare providers from mandates to perform voluntary procedures in violation of their conscience (e.g., abortion, physician assisted suicide, gender transition surgery, etc.).”

        Now five states-Arkansas, Ohio, South Carolina, Florida and now Montana– have enacted versions of this model legislation while “similar efforts are ongoing in multiple other states.”

        CONCLUSION

        Conscience rights are a necessity, especially since as Dr. Donna Harrison, director of the American Association of Pro-Life Obstetricians and Gynecologists (AAPLOG) makes the crucial point that:

         “Those who oppose the HHS Conscience Rule demonstrate their clear intention to squeeze out of the medical profession any doctor who still abides by the Hippocratic Oath, and to squelch any opposition to forcing doctors to kill human beings at the beginning and end of life.” (Emphasis added)

        Disturbingly, as a 2021 paper “Teaching the Holocaust in Nursing Schools: The Perspective of the Victims and Survivors” points out: “the majority of nursing and medical schools do not include Holocaust and genocide studies in their curriculum“, unlike years ago when it was included as an essential part of medical ethics education.

        The results are frightening, as I wrote in a 2019 blog “How Could This Happen? Ohio Doctor Accused of Murder in 25 Patient Overdose Deaths”. The doctor was eventually acquitted of murder after “Husel’s defense team, led by high-profile attorney Jose Baez, argued that no maximum doses of fentanyl are considered illegal under state law and that his client was trying to give comfort care to people who were dying or near death.” (Emphasis added)

         Today, both the American Medical Association and American Nurses Association champion “abortion rights” and have dropped their total opposition to medically assisted suicide.

        Without conscience rights and whistleblower protections, our health care system can not only become unethical but also downright dangerous to both healthcare providers and patients.